Register for the fall Women's Weekend

What to Expect       Weekend, When and Where       Meet the Weekend Team       Weekend Application
Weekend Application Print
Cursillo Logo

Complete this form
Print it
And then Submit it

$239

 Covers food and lodging for the weekend
In order to be considered, completed applications must be received into our offices by September 22, 2010 or two weeks prior to the start of the women's weekend.

Applicant

Name:  
Addr Street Address:
Addr (Continued)
City    Zip Code
Phone:  (with area code) Parish: 
Email:

Emergency Contact Information

Name: Phone: Relationship:

Candidate Information

Weekend Married Practicing Catholic Have a Sponsor
Men's Women's Yes No Yes No Yes No

Sponsor Information

Name: Phone: Relationship:
Addr:
Email:

Requested Physical and Dietary Accommodations:

       

Payment Information

No one is denied access to a Cursillo weekend due to finances.  Full and partial scholarships are available.  To request funds, click on the following link to download a Financial Aid application.  Scholarship Aid Form Download

Unless prior arrangements were made, a $60.00 non-refundable deposit must accompany this application.
How would you like to pay the deposit? C/O Corine Pekari
1633 40th Street
Sacramento, CA 95819
916-712-9309
Credit Card     If you choose to pay by credit card, You will be connected to our secure pay site when you click the submit button. You may print a copy for your records.
Check If you choose to pay by check or money order, print two copies and send one with your check or money order to the address on the right. We still ask that you submit your information, as it reduces data errors.
Make check or money order payable to Sacramento Cursillo.
Money Order